Spontaneous Rupture of Unscarred Uterus in a Term Primagravida with Lethal Skeletal Dysplasia Fetus

Background and Importance: Spontaneous uterine rupture, especially in an unscarred uterus, is a rare pregnancy complication that can cause severe morbidity and mortality in both the mother and the fetus. The vast majority of uterine ruptures occur in the presence of a previous uterine scar, most com...

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Bibliographic Details
Published in:International medical case reports journal 2022-10, Vol.15, p.551
Main Authors: Yusuf, Abdisalam Abdullahi, Kassim, Mohamed Mukhtar, Osman, Ahmed Adam, Omar, Abdikarim Ali, Hussein, Ahmed Issak, Hassan, Hodan Abdi
Format: Article
Language:English
Subjects:
Cesarean section
Dysplasia
Health aspects
Mortality
Somalia
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Summary:Background and Importance: Spontaneous uterine rupture, especially in an unscarred uterus, is a rare pregnancy complication that can cause severe morbidity and mortality in both the mother and the fetus. The vast majority of uterine ruptures occur in the presence of a previous uterine scar, most commonly from a previous cesarean delivery. To our knowledge, here we reported the first case of spontaneous rupture of unscarred uterus in a term primigravida secondary to lethal skeletal dysplasia fetus (Type 1 Thanatophoric dysplasia) faced by a practicing clinician in an underdeveloped country (Somalia) with a successful outcome. Case Presentation: The patient was 24 yrs. Old Primagravida, at 40 weeks gestation by LMP, presented with abdominal pain and active vaginal bleeding; she did not receive antenatal care during pregnancy; after initial abdominal ultrasonography and vaginal examination, laparotomy was performed due to high suspicion of uterine rupture. After dead fresh fetal extraction, the uterine defect was repaired successfully, and the patient was discharged home in good condition after several days. Conclusion: Through this case, we would like to highlight the urgent need to focus on and recognize the importance of receiving antenatal care in the community so that the burden of thousands of lives lost each year can be reduced. Keywords: uterine rupture, Thanatophoric dysplasia, Primagravida, antenatal care, case report
ISSN:1179-142X
1179-142X